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Individual

LISA WENDY FALK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1613 NW 136TH AVE, SUITE 200, SUNRISE, FL 33323-2853
(800) 437-2672
(954) 851-1758
Mailing address
4420 SAINT CHARLES WAY, BOCA RATON, FL 33434-5338
(561) 988-0152

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS7163
FL

Other

Enumeration date
08/09/2006
Last updated
07/08/2007
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